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Blood Test To Monitor A Specific Medication Level

South Dakota rates for HCPCS 80175

This blood test measures the level of a specific medication in the body. It is used to make sure the amount of the drug in a person's system is within a safe and effective range.

Rates data updated July 2026.

How much does Blood Test To Monitor A Specific Medication Level cost?

$72.44

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $72.44 for this service. The price depends on where it is billed: about $72.44 from a physician practice, and about $74.13 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$72.44$15.14 to $77.62
FacilityA hospital or hospital-owned outpatient department$74.13$43.65 to $93.33

How much rates vary

Facilitymedian $74 · 10th to 90th $26 to $95Professionalmedian $72 · 10th to 90th $8 to $98
$0.1$1.0$10.0$100.0facility $74professional $72

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$74.13
Typical High
$95.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$72.44
Typical High
$97.72
Avera
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$13.49
Typical High
$19.95
Avera
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$13.49
Typical High
$13.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$25.70
Typical High
$31.62
Medica
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$17.38
Typical High
$63.10
Medica
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$9.33
Typical High
$18.20
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$31.62
Typical High
$36.31
United
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$15.85
United
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$9.33
Typical High
$18.20
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$13.18

Where South Dakota sits

The same service costs 7.2 times more in South Dakota than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

South Dakota $72.44 · 1st of 51
SD $72.44DC $10.00

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.